PAVEL MOURACHOV MD NPI 1083711121

NPI Information

  • NPI: 1083711121
  • Provider Name: PAVEL MOURACHOV, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • Address: 3917 WEST RD
    STE 137
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (505) 661-8500

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NPI Details

Pavel Mourachov, MD is an urology in Los Alamos, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Pavel Mourachov, MD NPI is 1083711121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3917 WEST RD
STE 137
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 661-8500
Fax: (505) 661-0096

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMD071992LPENNSYLVANIANo
2208800000XUrologyMD2008-0654NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1081716MLCMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE PROV NUMBER
2I12801MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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